Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0900X | Dermatopathologist | D0017574 | MD |
N | 207ND0900X | Dermatopathologist | MD3852 | DC |
NPI | 1275501959 |
---|---|
Provider Name | Dr. Grace F. Kao |
First Address | Baltimore, MD 21264-4445 |
Second Address | Baltimore, MD 21201-7005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 16/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
028850900 | (05) | DC |
070008599 | RAILROAD MEDICARE (01) | MD |
449701500 | (05) | MD |
D77590 | (02) |